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Published in: International Journal of Public Health 7/2017

Open Access 01-09-2017 | Review

Bridging the silos in HIV and Hepatitis C prevention: a cross-provincial qualitative study

Authors: Anik Dube, Greg Harris, Jacqueline Gahagan, Shelley Doucet

Published in: International Journal of Public Health | Issue 7/2017

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Abstract

Objectives

The Our Youth Our Response (OYOR) study explored the scope and accessibility of existing youth-oriented human immunodeficiency virus (HIV) and Hepatitis C (HCV) prevention in Atlantic Canada.

Methods

A cross-provincial, qualitative population health and gender-based analytic approach was used in this study. Four hundred and twenty-five documents were part of the initial scoping review, while 47 in-depth interviews across youth-relevant sectors were undertaken to explore the perceptions related to current approaches to youth-oriented HIV/HCV prevention policies and programs. The study also conducted focus group discussions with 21 key informants aimed at identifying strategies to address the challenges identified from the interview data.

Results

Five overarching themes emerged from our triangulated data in relation to the present state of youth-related HIV/HCV prevention. These included: inter-organizational and intersectoral collaboration; youth engagement; access to testing; harm reduction; and education.

Conclusions

Our findings will assist in informing the next generation for HIV/HCV prevention aimed at youth. Specifically, the results indicate that future prevention initiatives should support the use of intersectoral collaboration, gender-based approaches, and HIV/HCV testing innovation to help de-stigmatize prevention efforts.
Literature
go back to reference Adams D, Klindera K, Walsh CS (2014) Innovative programmatic approaches to HIV prevention and care services for gay men, other men who have sex with men (MSM) and transgender persons using information and communication technology (ICT). Dig Cult Educ 6(3):152–163 Adams D, Klindera K, Walsh CS (2014) Innovative programmatic approaches to HIV prevention and care services for gay men, other men who have sex with men (MSM) and transgender persons using information and communication technology (ICT). Dig Cult Educ 6(3):152–163
go back to reference Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRef
go back to reference Chircop A, Bassett R, Taylor E (2014) Evidence on how to practice intersectoral collaboration for health equity: a scoping review. Crit Public Health 25:178–191CrossRef Chircop A, Bassett R, Taylor E (2014) Evidence on how to practice intersectoral collaboration for health equity: a scoping review. Crit Public Health 25:178–191CrossRef
go back to reference Frankish CJ et al (2007) Addressing the non-medical determinants of health: a survey of Canada’s health regions. Can J Public Health 98(1):41–47PubMed Frankish CJ et al (2007) Addressing the non-medical determinants of health: a survey of Canada’s health regions. Can J Public Health 98(1):41–47PubMed
go back to reference Fuster V, Kelly BB, Vedanthan R (2011) Global cardiovascular health: urgent need for an intersectoral approach. J Am Coll Cardiol 58(12):1208–1210PubMedCrossRef Fuster V, Kelly BB, Vedanthan R (2011) Global cardiovascular health: urgent need for an intersectoral approach. J Am Coll Cardiol 58(12):1208–1210PubMedCrossRef
go back to reference Gahagan J (2016) Commentary on the new sex and gender editorial policy of the Canadian Journal of Public Health. Can J Public Health 107(2):e140–e141PubMedCrossRef Gahagan J (2016) Commentary on the new sex and gender editorial policy of the Canadian Journal of Public Health. Can J Public Health 107(2):e140–e141PubMedCrossRef
go back to reference Gahagan J, Jason T, Pender C (2011) Promoting adolescent males’ health: utilization of school-based youth health centers in Nova Scotia, Canada. J Community Med Health Educ 1(2):1–7CrossRef Gahagan J, Jason T, Pender C (2011) Promoting adolescent males’ health: utilization of school-based youth health centers in Nova Scotia, Canada. J Community Med Health Educ 1(2):1–7CrossRef
go back to reference Hare K et al (2015) Troubling the boundaries: overcoming methodological challenges in a multi-sectoral and multijurisdictional HIV/HCV policy scoping review. Evid Policy J Res Debate Pract 1:1–17 Hare K et al (2015) Troubling the boundaries: overcoming methodological challenges in a multi-sectoral and multijurisdictional HIV/HCV policy scoping review. Evid Policy J Res Debate Pract 1:1–17
go back to reference Harris PJ, Kemp LA, Sainsbury P (2012) The essential elements of health impact assessment and healthy public policy: a qualitative study of practitioner perspectives. BMJ Open 2(6):1–8CrossRef Harris PJ, Kemp LA, Sainsbury P (2012) The essential elements of health impact assessment and healthy public policy: a qualitative study of practitioner perspectives. BMJ Open 2(6):1–8CrossRef
go back to reference Johnson JL, Repta R (2012) Sex and gender: Beyond the binaries. In: Oliffe JL, Greaves L (eds) Designing and conducting gender, sex, and health research. Sage Publications, Thousand Oaks, pp 17–37CrossRef Johnson JL, Repta R (2012) Sex and gender: Beyond the binaries. In: Oliffe JL, Greaves L (eds) Designing and conducting gender, sex, and health research. Sage Publications, Thousand Oaks, pp 17–37CrossRef
go back to reference Knezevic I et al (2014) Food insecurities and participation: a critical discourse analysis. Crit Discourse Stud 11(2):230–245CrossRef Knezevic I et al (2014) Food insecurities and participation: a critical discourse analysis. Crit Discourse Stud 11(2):230–245CrossRef
go back to reference Lawless A et al (2012) Health in all policies: evaluating the South Australian approach to intersectoral action for health. Can J Public Health 103(Suppl 1):S15–S19 Lawless A et al (2012) Health in all policies: evaluating the South Australian approach to intersectoral action for health. Can J Public Health 103(Suppl 1):S15–S19
go back to reference McLeroy KR et al (1998) An ecological perspective on health promotion programs. Health Educ Q 15:351–377CrossRef McLeroy KR et al (1998) An ecological perspective on health promotion programs. Health Educ Q 15:351–377CrossRef
go back to reference Murray CL, Walsh GW, Connor Gorber S (2013) Using correction equations based on measured height and weight weakens associations between obesity based on self-reports and chronic diseases. Epidemiol Res Int 2013:1–7CrossRef Murray CL, Walsh GW, Connor Gorber S (2013) Using correction equations based on measured height and weight weakens associations between obesity based on self-reports and chronic diseases. Epidemiol Res Int 2013:1–7CrossRef
go back to reference O’Reilly PL (2014) The Romanow Commission on the future of health care in Canada: Laying the groundwork or a missed opportunity for policy change. In: Inwoodand GJ, Johns CM (eds) Commissions of inquiry and policy change: a comparative analysis. University of Toronto Press, Toronto, pp 193–213CrossRef O’Reilly PL (2014) The Romanow Commission on the future of health care in Canada: Laying the groundwork or a missed opportunity for policy change. In: Inwoodand GJ, Johns CM (eds) Commissions of inquiry and policy change: a comparative analysis. University of Toronto Press, Toronto, pp 193–213CrossRef
go back to reference Raphael D (2008) Getting serious about the social determinants of health: new directions for public health workers. IUPE Promot Educ 15(3):15–20CrossRef Raphael D (2008) Getting serious about the social determinants of health: new directions for public health workers. IUPE Promot Educ 15(3):15–20CrossRef
go back to reference Reed SJ, Miller RL (2014) Adolescent Med Trials Network, HIV, the Adolescent Medicine Trials Network for HIV/AIDS Interventions. The Benefits of youth engagement in HIV-preventive structural change interventions. Youth Soc 46(4):529–547PubMedCrossRef Reed SJ, Miller RL (2014) Adolescent Med Trials Network, HIV, the Adolescent Medicine Trials Network for HIV/AIDS Interventions. The Benefits of youth engagement in HIV-preventive structural change interventions. Youth Soc 46(4):529–547PubMedCrossRef
go back to reference Schulman S (2006) Terms of engagement: Aligning youth, adults, and organizations toward social change. J Public Health Manag Pract 12:S26–S31CrossRef Schulman S (2006) Terms of engagement: Aligning youth, adults, and organizations toward social change. J Public Health Manag Pract 12:S26–S31CrossRef
go back to reference Shoveller J et al (2009) Youth’s experiences with STI testing in four communities in British Columbia, Canada. Sex Transm Infect 85:397–401PubMedCrossRef Shoveller J et al (2009) Youth’s experiences with STI testing in four communities in British Columbia, Canada. Sex Transm Infect 85:397–401PubMedCrossRef
go back to reference Tucker JD, Bien CB, Peeling RW (2013) Point-of-care testing for sexually transmitted infections: recent advances and implications for disease control. Curr Opin Infect Dis 26(1):73–79PubMedPubMedCentralCrossRef Tucker JD, Bien CB, Peeling RW (2013) Point-of-care testing for sexually transmitted infections: recent advances and implications for disease control. Curr Opin Infect Dis 26(1):73–79PubMedPubMedCentralCrossRef
Metadata
Title
Bridging the silos in HIV and Hepatitis C prevention: a cross-provincial qualitative study
Authors
Anik Dube
Greg Harris
Jacqueline Gahagan
Shelley Doucet
Publication date
01-09-2017
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 7/2017
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-016-0914-9

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